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Government of

Information and public services for the Island of Jersey

L'înformâtion et les sèrvices publyis pouor I'Île dé Jèrri

Minister unveils plans in response to clinical governance report

03 October 2022

​The Minister for Health and Social Services has unveiled initial proposals in response to a report which raised concerns about clinical governance and assurance on the quality and safety of care in the hospital and related services. 

The plan sets out the initial steps to accelerate the delivery of patient focussed change and improvement. The changes will be wide ranging and delivered at pace, highlighting the government’s commitment to these improvements. 

The plan is focussed on the needs of patients and their families and presents a set of initial actions, with a more detailed implementation plan to follow. 

Some of the commitments in the plan include: 

  • Direct improvements to patient experiences, such as improving waiting times, formal and informal feedback mechanisms for patients, and improved complaints handling
  • A culture change programme for HCS, which will include the appointment of a Freedom to Speak Up Guardian for staff and patients
  • Getting the right mix of skills and clinical leadership through the creation of a sustainable workforce plan for HCS, and following best practice in clarity of role and structures
  • The development of service excellence standards and changes to systems and practices to make sure they are being achieved and that the public can be assured. 

The Minister will be appointing a new Health Board, which will provide independent assurance to the Minister and the public on the quality and performance of the health system, with a fixed term Chairperson and which will include independent members to follow. The Board will be an important driver of change and will require an experienced chair and range of expertise amongst the members. 

Additional resources and expertise will provide the knowledge, skills and experience required to deliver the change and turnaround required. 

Launching the plan, Minister for Health and Social Services, Deputy Karen Wilson said: “For most clinicians and practitioners in HCS, the quality of patient care, especially patient safety, is uppermost and I am mindful that many patients enjoy positive health outcomes and interactions with healthcare professionals every day.

“However, the report provided evidence that we must go further to raise standards of quality and safety so that all Islanders can expect a standard of care and service that can be found in most modern health systems across the world. This can only be achieved through changing many aspects of the service, the standards it works to and its accountability to the public, supported by the participation and engagement of patients and staff.

 “This plan is developed in direct response to what HCS staff told Professor Mascie-Taylor about the things which need to improve. The report made clear that, despite the hard work of staff, HCS’s clinical governance is poor and therefore Jersey does not know if it receives the standards of healthcare it deserves.

“I know from feedback received that our staff want to do their best for Islanders, but they need our support to deliver high quality patient care. Some of them have clearly told us that they see the publication of Professor Mascie-Taylor’s report as an opportunity for change, but others need to be convinced that we will act on the report. 

"Transformation is successful when patients and staff are involved in shaping services and this plan shows our commitment to improvement and how we will support our teams to deliver patient focussed change.” 

Notes: The Minister’s plan is published in response to a report into clinical governance arrangements within Health and Community Services, which was published in August 2022. The report by Professor Hugo-Mascie Taylor made 61 recommendations, all of which were accepted by the Minister. 

The full report is available: Report into clinical governance arrangements within Health and Community Service

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